Individual provider Active NPI

Diane Gonzalez Gabasan, RPH

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1285899625
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41017 Issued in FL
Practice address
10425 Narcoossee Rd
Orlando, FL 32832-6902
Phone
(407) 384-9353
Fax
(407) 384-1226
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41017 FL Primary
Pharmacist 183500000X 28RI0300000 NJ

Addresses

Primary practice location

10425 Narcoossee Rd
Orlando, FL 32832-6902

Mailing address

1224 Balsam Willow TRL
Orlando, FL 32825-4410
Phone (845) 300-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS41017FLMDPharmacist
28RI0300000NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1285899625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 BALSAM WILLOW TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254410",
            "telephone_number": "845-300-8323",
            "fax_number": "407-401-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 NARCOOSSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326902",
            "telephone_number": "407-384-9353",
            "fax_number": "407-384-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABASAN",
        "first_name": "DIANE",
        "middle_name": "GONZALEZ",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41017",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI0300000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.